Space is limited. Use this form to reserve your child’s Summer Day Camp experience. Scholarships will be made available. Summer Day Camp begins on June 17th and ends August 9th. Registration dates – Wednesday May 1st 10am‐5pm; Wednesday May 8th 10am‐5pm; Wednesday May 15th 10am‐5pm. Fees are due on time, unless otherwise arranged.
Parent’s Name ______________________________ PN # ______________________ CDL _______________ Address ____________________________________ City _____________________ Zip _______________________ Child ______________________________ Age _______ Child _____________________________ Age _______ Cell # __________________________________ Work # ______________________________
Send your check payable to: East County Boys and Girls Club, 1001 Stoneman Avenue, Pittsburg, CA 94565